5QR-14371-12597

2 vaccinations 7 coded responses 18 check-ins 7 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 300 / GA
Registered: 2021-01-07

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pruritus — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Itchy eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Sinusitis — Feeling: Fair · Headache, Fatigue or tiredness

Free text: May have a nasal infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pruritus, Medical counselling, Rash macular, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Day 8 intense itch and red rash around injection site. Cortisone cream made it worse. Rash area spread in a red blotch approx 4 x 4 until day 11. Itch not as intense and negligible on day 14. Still a pink area around the ingestion site but sm · Healthcare visit (other): Called Dr.. suggested anti itch lotion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-28
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-04
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-08
Dose 2 — Moderna
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Influenza like illness — Feeling: Fair · Site: Pain, Redness, Itching · Muscle or body aches, Fatigue or tiredness

Free text: 2nd day was rough. Felt like flu and just blah.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — day 7, dose 2
Feeling: Fair · Site: Redness, Itching · None

Adult check-in
2021-02-22
Survey response — day 14, dose 2
MedDRA: Body temperature increased, Chest discomfort, Cough, Dyspnoea, Heart rate decreased, Increased viscosity of upper respiratory secretion, Nasopharyngitis, Oxygen consumption, Paranasal sinus hypersecretion, Productive cough, Pyrexia, Respiratory tract congestion, Sinus congestion — Feeling: Poor

Free text: I may have a cold. Tightness in chest. Thick cleat phlegm. Heavy sinus congestion and drainage. Moderate cough. Little difficult to breathe. Taking guiafenesen 400 tabs and Corecedin HBP. Fever 99. Oxegyn utilization 94. BP 157/68 Heart Rate 50.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-15
Survey response — day 35, dose 2
MedDRA: Headache, Limb discomfort, Malaise, Pain — Feeling: Fair

Free text: Just feel lousy. No energy. My want to just got up and went. My legs feel heavy at tines and keep having sharp throbbing pain on both sides of my head in the temporal area. May have a sinus infection with some bleeding. Taking fexofenadine daily

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Call 1 — Left Voicemail
2021-08-09
Survey response — 6 months, dose 2
MedDRA: Abdominal distension, Abdominal pain, Asthenia, Back pain, Constipation, Gastrointestinal disorder, Glossodynia, Malaise — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Intestinal and digestive issues. Food causes bloating with slow transit BM. Days to pass with lower back and abdominal pain. Just feel lousy with no energy. My tongue is constantly sore.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-09
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-08	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Itchy eyes

2021-01-13

Systemic reaction (other): May have a nasal infection

Release 2 — day 14, dose 1

2021-01-21

Symptoms: Day 8 intense itch and red rash around injection site. Cortisone cream made it worse. Rash area spread in a red blotch approx 4 x 4 until day 11. Itch not as intense and negligible on day 14. Still a pink area around the ingestion site but sm

Healthcare visit (other): Called Dr.. suggested anti itch lotion

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): 2nd day was rough. Felt like flu and just blah.

Release 4 — day 14, dose 2

2021-02-22

Symptoms: I may have a cold. Tightness in chest. Thick cleat phlegm. Heavy sinus congestion and drainage. Moderate cough. Little difficult to breathe. Taking guiafenesen 400 tabs and Corecedin HBP. Fever 99. Oxegyn utilization 94. BP 157/68 Heart Rate 50. cut off by CDC

Release 5 — day 35, dose 2

2021-03-15

Symptoms: Just feel lousy. No energy. My want to just got up and went. My legs feel heavy at tines and keep having sharp throbbing pain on both sides of my head in the temporal area. May have a sinus infection with some bleeding. Taking fexofenadine daily cut off by CDC

Release 9 — 6 months, dose 2

2021-08-09

Symptoms: Intestinal and digestive issues. Food causes bloating with slow transit BM. Days to pass with lower back and abdominal pain. Just feel lousy with no energy. My tongue is constantly sore.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Medical counselling	✓	✓	✓
SD	Abdominal distension	✓	·	✓
SD	Abdominal pain	✓	·	✓
SD	Asthenia	✓	·	✓
SD	Back pain	✓	·	✓
SD	Body temperature increased	✓	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Constipation	✓	·	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Gastrointestinal disorder	✓	·	✓
SD	Glossodynia	✓	·	✓
SD	Headache	✓	✓	✓
SD	Heart rate decreased	○	✓	○
SD	Increased viscosity of upper respiratory secretion	✓	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Limb discomfort	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Nasopharyngitis	○	✓	○
SD	Oxygen consumption	○	✓	○
SD	Pain	✓	✓	✓
SD	Paranasal sinus hypersecretion	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Pyrexia	○	✓	○
SD	Rash macular	✓	✓	✓
SD	Respiratory tract congestion	○	✓	○
SD	Self-medication	✓	✓	✓
SD	Sinus congestion	✓	·	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Sinusitis	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release